artículo
Treatment of chronic obstructive pulmonary disease in 5 Latin American cities: The PLATINO study
Fecha
2008Registro en:
1579-2129
0300-2896
MEDLINE:18361870
WOS:000253402700002
Autor
Varela, Maria Victorina Lopez
Muino, Adriana
Padille, Rogelio Perez
Jardim, Jose Roberto
Talamo, Carlos
de Oca, Maria Montes
Valdivia, Gonzalo
Pertuze, Julio
Halbert, Ron
Menezes, Ana Maria
Marquez, Maria
Hallal, Pedro
Moreno, Dolores
Rosa, Fernanda
Carnelier, Aquiles
Institución
Resumen
OBJECTIVE: PLATINO project is a population-based study designed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in S (a) over tildeo Paulo, Brazil; Mexico City, Mexico; Montevideo, Uruguay; Santiago de Chile, Chile; and Caracas, Venezuela. The objective of this portion of PLATINO was to describe preventive and pharmacological treatment of COPD patients and factors associated with such treatment. PATIENTS AND METHODS: Eligible subjects completed a questionnaire and underwent postbronchodilator spirometry. RESULTS: Of the total of 5529 individuals who answered items referring to treatment, 758 had COPD (ratio of postbronchodilator forced expiratory volume in 1 second to forced vital capacity of <0.7), and 86 of them had been previously diagnosed by a physician. Among all COPD patients, only half of smokers or former smokers had been advised to quit and 24.7% had received some type of respiratory medication. Only 13.5% had used inhaled corticosteroids, and those were the patients with the most severe disease. In the group of patients who had a previous medical diagnosis of COPD, 69% of the smokers or former smokers had been advised to quit by a physician and 75.6% had received respiratory medication in the preceding year: 43% reported having used inhaled medication and 36% had used bronchodilators. Rates of vaccination against influenza and the use of mucolytic drugs and inhalers varied from one health care facility to another. All drug prescriptions were based on previous spirometry. CONCLUSIONS: Spirometry emerged not only as a diagnostic tool, but also as a factor associated with treatment, against a background of uneven use of available health care resources in these 5 Latin American cities.